The quake -- which was felt from Rome to Venice -- struck at 0640 GMT six kilometres (3.5 miles) north of the small town of Norcia, four days after quakes of 5.5 and 6.1 magnitude hit central Italy. On August 24, nearly 300 people died in a major quake in the notoriously seismic-prone region.
Nightmare recurs on Italy's earthquake frontline
The quake set dogs barking in the largely-abandoned towns of Norcia, Castelsantagelo, Preci and Visso, where residents had left their homes to sleep in cars or moved to the coast following this week's quakes.
"Everything collapsed. I can see columns of smoke, it's a disaster, a disaster," Marco Rinaldi, the mayor of Ussita, one of the pretty mountain villages hit hardest by the last quake, told journalists. "I was sleeping in my car, I saw hell break out," he was quoted as saying.
Strong twin quakes rock central Italy
Italy's civil protection department said there were "checks underway in all the towns affected by this morning's quake to determine whether there has been any damage to people or buildings."
Images aired by Italy's Sky News 24 showed monks on their knees praying silently in front of the outdoor statue of St Benedict of Norcia, while scared residents stood by.
The St Benedict basilica itself was reported to have collapsed with Sunday's quake.
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